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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813.780-0021 Owner's Name ~ I I I :)\> ~~~ 1 LOU ~ I PARCELID#12>l.\-~-~\~\Cl~a~ -~ (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D D Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received \'\\ ~ OW".,', Add,.., ElL 'rD "(t>\ ~~~v \){ Fee Simple Titleholder Nam JOB ADDRESS Fee Simple Titleholder Address I ~~~~~~' SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION ~_ NEW CONSTR ~ INSTALL D SFR D BL DEMOLISH WORK PROPOSED OTHER I~\...~ \\\:~)\'0. DESCRIPTION OF WORK ~ BUILDING I I -rT I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I . I 1.1 I I I I I I I I II I .. 1.1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1$\~\0\~.'-\~ I 1$ I 1$ I 1$ I D ROOFING D VALUATION OF TOTAL CONSTRUCTION BUILDING SIZE HEIGHT ~ELECTRICAL AMP SERVICE D PROGRESS ENERGY D W.R.E,C, ~\{ Q.;Sf\~<2\ ' D PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION D D GAS SPECIALTY D FLOOD ZONE AREA OTHER FINISHED FLOOR ELEVATIONS DYES DNO ELECTRICI SIGNATURE ~~~~:,~~ ~>>~?'tt~,~t~~l~\d\ .1 -*~ License # I~L'S~\l"{~ I ~~~:~~ I ~~\ 1\2 0=FE)SR~ ~Y I N I License # I \ "tS \ I I I I I I I COMPANY REGISTERED Y I N FEE CURRENT License # YI N FEE CURRENT License # Y I N FEE CURRENT License # Y/N BUILDER SIGNATURE Address PLUMBER SIGNATURE Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N 1'1"111111"1'1111111"1"111'11'11111111'111111111111111'111111111111111111111111'11111111111111111111111111111'1111111'11111111"'11111111'1111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date, Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms, Minimum ten (10) working days after submittal date, Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance, SIGN PERMIT Attach (2) sets of Engineered Plans, ....PROPERTY SURVEY required for all NEW construction, 111111111",,111111111.,11111111..111111.1111111111111111.1111111111,......1,111111,111111.11111111111111111111111111111",1111111111111111111,111 Directions: Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required, (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades Ale Driveways Fences (PloUSurvey/Footage)